提升手術室護理人員執行X光輻射防護正確率

手術過程使用C-arm等移動式X光儀輔助已日趨頻繁，手術室輻射防護安全不容忽視。因院方增聘6位骨科及血管外科醫師，術中使用C-arm量倍增，故進行輻射防護相關調查，發現手術室護理人員X光輻射防護認知正確率僅為55.2%、執行防護措施正確率58.1%，顯示手術室護理人員對輻射防護知能普遍不足，此為本專案改善之問題與動機。進一步分析手術室X光輻射防護不正確原因為：未安排輻射防護相關教育訓練課程、無X光輻射防護標準作業規範、輻防設備不足及欠缺稽核機制等。經制定標準作業指導書、舉辦教育訓練、增購防護設備與檢測及制定稽核機制等方案後，護理人員X光輻射防護認知正確率升至100%；執行防護措施正確率升至100%。本專案不僅有效提升手術室護理人員對X光輻射防護之認知、態度及行為，免於過量暴露之危害，更建構優質的手術室輻射安全防護環境，增進醫療照護品質。

關鍵字

手術室； X光輻射；輻射防護

並列摘要

Surgical procedures using X-ray auxiliary, such as mobile C-arm X-ray, have been more common. Therefore, radiation protection in the operation room cannot be ignored. A recent survey found that the correctness rate of nursing staff's X-ray radiation protection awareness (CRPA) was only 55.2%; the correctness rate of protective implementation (CRPI) was only 58.1%. This is due to no training courses on radiation protection, lack of X-rayradiation protective operating standards, and lack of radiation protection equipment and inadequate maintenance. After developing standard operating instructions, organizing education and training, purchasing protective equipment, and setting up a scheme of inspecting mechanisms, CRPA and CRPI both increased to 100%. This project not only enhances nursing staff's knowledge, attitudes, and management about X-ray radiation protection, but also provides quality and safe working environments and improves the quality of care

並列關鍵字

operating room ； X-ray radiation ； radiation protection

參考文獻

行政院原子能委員會(2013年，8月)．102年度透視攝影及介入放射診療輻射安全訓練講義．取自http://www.aec.gov.tw/輻射安全輻安管制/游離輻射安全諮詢會/102年度醫療曝露品質保證及輻射防護訓練課程講義--4_28_119_2090.html[Atomic Energy Council (2013, August). 2013 Radiation safety in fluoroscopy and interventional radiology training materials. from http://www.aec.gov.tw/Radiation Protection/Radiation Safety Control/Advisory Committee on Ionizing Radiation Safety/2013 medical exposure quality assurance and radiation protection training material--4_28_119_2090.html]